Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,630.78 / $7,413.10	Facility		$204.17	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $309.03	Professional		$102.33	$165.96	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $338.84	Professional		$125.89	$218.78	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $288.40	Professional		$120.23	$165.96	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $346.74	Professional		$104.71	$173.78	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $338.84	Professional		$112.20	$194.98	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $257.04	Professional		$151.36	$223.87	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $346.74	Professional		$120.23	$190.55	$346.74